Imperial College London
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Professor Kalipso Chalkidou

Faculty of Medicine, School of Public Health

Visiting Professor
 
 
 
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Contact

 

k.chalkidou

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Li:2017:10.12688/f1000research.10966.1,
author = {Li, R and Ruiz, F and Culyer, AJ and Chalkidou, K and Hofman, KJ},
doi = {10.12688/f1000research.10966.1},
journal = {F1000Research},
pages = {231--231},
title = {Evidence-informed capacity building for setting health priorities in low- and middle-income countries: A framework and recommendations for further research.},
url = {http://dx.doi.org/10.12688/f1000research.10966.1},
volume = {6},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Priority-setting in health is risky and challenging, particularly in resource-constrained settings. It is not simply a narrow technical exercise, and involves the mobilisation of a wide range of capacities among stakeholders - not only the technical capacity to "do" research in economic evaluations. Using the Individuals, Nodes, Networks and Environment (INNE) framework, we identify those stakeholders, whose capacity needs will vary along the evidence-to-policy continuum. Policymakers and healthcare managers require the capacity to commission and use relevant evidence (including evidence of clinical and cost-effectiveness, and of social values); academics need to understand and respond to decision-makers' needs to produce relevant research. The health system at all levels will need institutional capacity building to incentivise routine generation and use of evidence. Knowledge brokers, including priority-setting agencies (such as England's National Institute for Health and Care Excellence, and Health Interventions and Technology Assessment Program, Thailand) and the media can play an important role in facilitating engagement and knowledge transfer between the various actors. Especially at the outset but at every step, it is critical that patients and the public understand that trade-offs are inherent in priority-setting, and careful efforts should be made to engage them, and to hear their views throughout the process. There is thus no single approach to capacity building; rather a spectrum of activities that recognises the roles and skills of all stakeholders. A range of methods, including formal and informal training, networking and engagement, and support through collaboration on projects, should be flexibly employed (and tailored to specific needs of each country) to support institutionalisation of evidence-informed priority-setting. Finally, capacity building should be a two-way process; those who build capacity should also attend to their own capacity
AU  - Li,R
AU  - Ruiz,F
AU  - Culyer,AJ
AU  - Chalkidou,K
AU  - Hofman,KJ
DO  - 10.12688/f1000research.10966.1
EP  - 231
PY  - 2017///
SN  - 2046-1402
SP  - 231
TI  - Evidence-informed capacity building for setting health priorities in low- and middle-income countries: A framework and recommendations for further research.
T2  - F1000Research
UR  - http://dx.doi.org/10.12688/f1000research.10966.1
UR  - http://hdl.handle.net/10044/1/55414
VL  - 6
ER  -
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